WGU D116 Advanced Pharmacology Study Guide – Part 1 Exam
Review with Detailed Notes, Practice Questions, and Key
Concepts Explained||Latest Version!!!Graded A+
A patient who is newly diagnosed with type 2 diabetes would like to
try a noninsulin medication that does not have the side effect of
weight gain.
Which medication should an advanced practice registered nurse
suggest?
Metformin
Repaglinide
Glimepiride
Glipizide
Metformin
A patient with type 2 diabetes is being seen by an advanced practice
registered nurse (APRN). The patient has a history of renal
impairment and takes metformin.
Which potential medical complication should the APRN mention to
the patient?
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis
Metabolic acidosis
A patient with Graves disease comes into a clinic to tell her advanced
practice registered nurse (APRN) that she just found out that she has
been pregnant for six weeks.
Which medication should the APRN use for this patient?
Propylthiouracil
Iodine-131
Methimazole
Levothyroxine
Propylthiouracil
pg. 1
,A patient presents to an emergency room complaining of palpitations
and irregular heartbeat. The advanced practice registered nurse
(APRN) places the patient on a cardiac monitor and observes atrial
fibrillation. The APRN orders dofetilide.
How should the APRN recommend this medication be taken?
YES With food or an empty stomach
A 70-year-old male calls a clinic complaining of chest pain that
started after having sexual activity. He took sildenafil 50 mg about
eight hours ago. He has nitroglycerin 0.3 mg on hand.
How should the advanced practice registered nurse respond?
Do not take the nitroglycerin and call 911
Taking the medications together can cause a serious drop in blood
pressure leading to cardiovascular collapse
An advanced practice registered nurse (APRN) is ordering
levothyroxine and is scheduling an appointment to check a patient's
plasma levels to determine the medication's effectiveness.
When should the APRN request the follow-up for this testing?
In one week
In four weeks
In six months
In three months
In four weeks
A patient comes into a clinic with a new diagnosis of
hyperthyroidism, and an advanced practice registered nurse (APRN)
decides to prescribe methimazole over propylthiouracil.
Why did the APRN make this decision?
It will be safe during the first trimester if pregnancy occurs.
It has a longer half-life.
It does not cause agranulocytosis
It can be taken for the rest of the patient's life.
It has a longer half-life.
pg. 2
,A 42-year-old female asks an advanced practice registered nurse
(APRN) for help with weight loss. Her current body mass index
(BMI) is 33.
Which goal is realistic for this patient?
Target weight loss of 20%-25% in six months
Reaching target body mass index (BMI) in one month
Reaching target body mass index (BMI) in three months
Target weight loss of 10%-15% in six months
Target weight loss of 10%-15% in six months
An advanced practice registered nurse (APRN) is in the process of
selecting a medication to treat an adult patient for obesity. The patient
has tried lifestyle changes but has had limited success. The patient is
currently taking bupropion for depression.
Which medication is contraindicated for this patient?
Naltrexone/bupropion
Phentermine
Lorcaserin/bupropion
Orlistat
Naltrexone/bupropion
A 40-year-old female is diagnosed with acute pyelonephritis with
symptoms of fever, chills, severe flank pain, dysuria, urinary
frequency, and urinary urgency. The patient is prescribed levofloxacin
for 14 days.
Which bacterium is being treated in this patient?
Pseudomonas aeruginosa
Borrelia burgdorferi
Staphylococcus aureus
Escherichia coli
Escherichia coli
A 20-year-old patient with cancer is admitted to a medical surgical
floor with diarrhea. The stool cultures return positive for Clostridium
difficile.Which antibiotic should be prescribed for this patient?
pg. 3
, Metronidazole
Ciprofloxacin
Doxycycline
Gentamicin
Metronidazole
A mother brings her one-year-old son to a routine checkup. It is
almost flu season, and she wants to get a flu vaccine for her son. This
will be his first flu vaccine. She is hoping the intranasal vaccine will
be used so her son does not have to be poked with a needle.
What are the flu vaccine options, if any, for this patient?
Intradermal influenza vaccines are the only recommended
formulations for children four years and younger.
The intranasal vaccine is recommended as first choice for children six
months and older.
Influenza vaccines are only available for children two years and older.
For patients six months old to two years old, the influenza vaccine
administered intramuscularly is the only recommended option.
For patients six months old to two years old, the influenza vaccine
administered intramuscularly is the only recommended option.
A 75-year-old patient comes to an emergency room after eating
shellfish. He presents with shortness of breath, swollen eyes, and
hives. The patient was given a dose of epinephrine intravenously and
is stable enough to discharge.
Which other medication should the patient be placed on to prevent a
second reaction?
Phenobarbital
Hydrocodone
Atropine sulfate
Cetirizine
Cetirizine
An adult female patient was placed on doxycycline. The patient states
it has made her stomach upset, and she wants to know if there are any
pg. 4
Review with Detailed Notes, Practice Questions, and Key
Concepts Explained||Latest Version!!!Graded A+
A patient who is newly diagnosed with type 2 diabetes would like to
try a noninsulin medication that does not have the side effect of
weight gain.
Which medication should an advanced practice registered nurse
suggest?
Metformin
Repaglinide
Glimepiride
Glipizide
Metformin
A patient with type 2 diabetes is being seen by an advanced practice
registered nurse (APRN). The patient has a history of renal
impairment and takes metformin.
Which potential medical complication should the APRN mention to
the patient?
Metabolic acidosis
Metabolic alkalosis
Respiratory acidosis
Respiratory alkalosis
Metabolic acidosis
A patient with Graves disease comes into a clinic to tell her advanced
practice registered nurse (APRN) that she just found out that she has
been pregnant for six weeks.
Which medication should the APRN use for this patient?
Propylthiouracil
Iodine-131
Methimazole
Levothyroxine
Propylthiouracil
pg. 1
,A patient presents to an emergency room complaining of palpitations
and irregular heartbeat. The advanced practice registered nurse
(APRN) places the patient on a cardiac monitor and observes atrial
fibrillation. The APRN orders dofetilide.
How should the APRN recommend this medication be taken?
YES With food or an empty stomach
A 70-year-old male calls a clinic complaining of chest pain that
started after having sexual activity. He took sildenafil 50 mg about
eight hours ago. He has nitroglycerin 0.3 mg on hand.
How should the advanced practice registered nurse respond?
Do not take the nitroglycerin and call 911
Taking the medications together can cause a serious drop in blood
pressure leading to cardiovascular collapse
An advanced practice registered nurse (APRN) is ordering
levothyroxine and is scheduling an appointment to check a patient's
plasma levels to determine the medication's effectiveness.
When should the APRN request the follow-up for this testing?
In one week
In four weeks
In six months
In three months
In four weeks
A patient comes into a clinic with a new diagnosis of
hyperthyroidism, and an advanced practice registered nurse (APRN)
decides to prescribe methimazole over propylthiouracil.
Why did the APRN make this decision?
It will be safe during the first trimester if pregnancy occurs.
It has a longer half-life.
It does not cause agranulocytosis
It can be taken for the rest of the patient's life.
It has a longer half-life.
pg. 2
,A 42-year-old female asks an advanced practice registered nurse
(APRN) for help with weight loss. Her current body mass index
(BMI) is 33.
Which goal is realistic for this patient?
Target weight loss of 20%-25% in six months
Reaching target body mass index (BMI) in one month
Reaching target body mass index (BMI) in three months
Target weight loss of 10%-15% in six months
Target weight loss of 10%-15% in six months
An advanced practice registered nurse (APRN) is in the process of
selecting a medication to treat an adult patient for obesity. The patient
has tried lifestyle changes but has had limited success. The patient is
currently taking bupropion for depression.
Which medication is contraindicated for this patient?
Naltrexone/bupropion
Phentermine
Lorcaserin/bupropion
Orlistat
Naltrexone/bupropion
A 40-year-old female is diagnosed with acute pyelonephritis with
symptoms of fever, chills, severe flank pain, dysuria, urinary
frequency, and urinary urgency. The patient is prescribed levofloxacin
for 14 days.
Which bacterium is being treated in this patient?
Pseudomonas aeruginosa
Borrelia burgdorferi
Staphylococcus aureus
Escherichia coli
Escherichia coli
A 20-year-old patient with cancer is admitted to a medical surgical
floor with diarrhea. The stool cultures return positive for Clostridium
difficile.Which antibiotic should be prescribed for this patient?
pg. 3
, Metronidazole
Ciprofloxacin
Doxycycline
Gentamicin
Metronidazole
A mother brings her one-year-old son to a routine checkup. It is
almost flu season, and she wants to get a flu vaccine for her son. This
will be his first flu vaccine. She is hoping the intranasal vaccine will
be used so her son does not have to be poked with a needle.
What are the flu vaccine options, if any, for this patient?
Intradermal influenza vaccines are the only recommended
formulations for children four years and younger.
The intranasal vaccine is recommended as first choice for children six
months and older.
Influenza vaccines are only available for children two years and older.
For patients six months old to two years old, the influenza vaccine
administered intramuscularly is the only recommended option.
For patients six months old to two years old, the influenza vaccine
administered intramuscularly is the only recommended option.
A 75-year-old patient comes to an emergency room after eating
shellfish. He presents with shortness of breath, swollen eyes, and
hives. The patient was given a dose of epinephrine intravenously and
is stable enough to discharge.
Which other medication should the patient be placed on to prevent a
second reaction?
Phenobarbital
Hydrocodone
Atropine sulfate
Cetirizine
Cetirizine
An adult female patient was placed on doxycycline. The patient states
it has made her stomach upset, and she wants to know if there are any
pg. 4
